scholarly journals Produtividade dos laboratórios de prótese dentária do SUS no estado da Bahia

2020 ◽  
Vol 11 (1) ◽  
pp. 18
Author(s):  
Francisvânia Camilo Santos Alves ◽  
Lília Paula De Souza Santos ◽  
Natally Rocha Oliveira ◽  
Luíza Eloy Guimarães
Keyword(s):  
Oral Health ◽  
Structural Characteristics ◽  
Physical Structure ◽  
National Registry ◽  
Dental Prosthesis ◽  
Unified Health System ◽  
Dental Prostheses ◽  
Other Information ◽  
Quantitative Descriptive ◽  
Oral Health Policy

INTRODUCTION: The difficulty in accessing oral health services and the practice of dental mutilation has led to a high number of individuals affected by edentulism. In order to reverse this situation, the National Oral Health Policy was implemented and with it the Dental Prosthesis Laboratories. OBJECTIVE: To evaluate the productivity of the dental prothesis of these laboratories in the state of Bahia, in 2016. METHODOLOGY: This was a quantitative-descriptive study in which data were collected from Outpatient Information System of the Unified Health System regarding dental prosthesis productivity. The information of physical structure, human resources of the laboratories and their distribution by health regions were collected in the site of the National Registry of Health and other information about the municipality in the Brazilian Institute of Geography and Statistics. The absolute and relative frequency of the variables and the comparison of productivity with the structural characteristics of the laboratories and health regions of Bahia were presented. RESULTS: We analyzed 51 municipalities that offer dental prosthesis services in SUS, of these 32 have CEO. A total of 46,870 prostheses produced of the type dentures, partial removable, fixed and on implant were observed, with the cities with CEO producing 66.49% and the 19 cities without CEO produced 33.51%. The type of prosthesis most performed was the total (58.73%) followed by the removable partial prosthesis (40.07%). The South region presented the highest productivity of dental prostheses (24.26%) while the region Center North produced the lowest amount (2.28%). CONCLUSION: Although there is a considerable amount of prostheses produced, only 12.2% of the municipalities in Bahia have a dental prosthesis laboratory, even demonstrating a considerable amount of productivity.

scholarly journals The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil

2020 ◽  
Vol 17 (5) ◽  
pp. 1646
Author(s):  
Maria Aparecida Cunha ◽  
Mario Vianna Vettore ◽  
Thiago Resende dos Santos ◽  
Antônio Thomaz Matta-Machado ◽  
Simone Dutra Lucas ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Human Resources ◽  
Organizational Support ◽  
Organizational Factors ◽  
Dental Students ◽  
Dental Prosthesis ◽  
Dental Prostheses ◽  
Primary Health

This study aimed to investigate factors associated with dental prosthesis procedures by oral health teams (OHTs) in the Brazilian primary health care in 2013–2014, who participated in the National Program for Improving Access and Quality of Primary Health Care (PMAQ-AB). This is an analytical cross-sectional study using a questionnaire with dichotomous questions applied in 18,114 OHTs. The dependent variable studied was making any type of prosthesis (removable or fixed). Independent variables involved issues related to human resources and health service management. Data were submitted to simple and multiple binary logistic regression with odds ratio calculation, 95% confidence intervals, and p-values. Most OHTs (57%) do not perform any dental prosthesis. The teams that are more likely to perform dental prostheses have human resources-related characteristics, such as professionals admitted through public examinations (OR 1.25, 95% CI 1.14–1.36) and those involved in permanent education (OR 1.13, 95% CI 1.02–1.26). Moreover, OHTs with a more organized work process and that receive more significant support from municipal management are more likely to perform dental prostheses (p < 0.05). The oral health teams which tended to provide the most dental prostheses to benefit patients were; hired as civil servants, had a municipal career plan, involved all members of the oral health team, and trained undergraduate dental students from outreach programs. Better organizational support and improved work incentives may be needed to get the majority of oral health teams to start providing dental prostheses to their patients.

scholarly journals GESTÃO PÚBLICA NA ODONTOLOGIA COM O ADVENTO DO PROGRAMA BRASIL SORRIDENTE

2019 ◽  
Author(s):  
Sérgio Spezzia
Keyword(s):  
Public Health ◽  
Oral Health ◽  
Health Management ◽  
Public Health Care ◽  
Dental Public Health ◽  
Unified Health System ◽  
Dental Management ◽  
It Innovation ◽  
The Cost ◽  
Oral Health Policy

ResumoA instituição no ano de 2004 da nova Política Nacional de Saúde Bucal, intitulada Programa Brasil Sorridente (PBS), trouxe consigo inovação e mudou o quadro odontológico na área de saúde. O objetivo deste artigo foi averiguar a performance da gestão pública odontológica e do PBS no desempenho da assistência à saúde pública odontológica. O PBS trouxe consigo um impacto significativo para alavancar a saúde bucal no Brasil, uma vez que até então não havia pelo governo federal, adoção de medidas satisfatórias para o setor. Os repasses de verba destinados ao custeio da saúde bucal da União para os municípios aumentaram. Constatou-se melhora significativa nos serviços prestados, relacionados a assistência à saúde pública odontológica com a implementação do PBS, comparando-se com a realidade apresentada anteriormente e levando-se em consideração o repasse de verbas escasso de antes.Palavras-chave: Gestão em Saúde. Sistema Único de Saúde. Iniquidade Social. Saúde Bucal. AbstractInstitution in 2004 of the National Oral Health Policy, the Brazilian Smiling Program, brought with it innovation and changed the odontological framework in the health area. The objective of this article was to investigate the performance of public dental management and the Brazilian Smiling Program in the performance of dental public health care. PBS brought with it a significant impact to leverage oral health in Brazil, since until then the federal government had not adopted satisfactory measures for the sector. The onlending of funds destined to the cost of oral health of the Union to the municipalities increased. There was a significant improvement in the services provided, related to dental public health assistance with the implementation of PBS, comparing with the reality presented previously and taking into account the transfer of scarce funds from before.Keywords: Health Management. Unified Health System. Social Inequity. Oral Health.

scholarly journals Living, collective and political organisms for construction of the attributes of the National Oral Health Policy

2021 ◽  
Vol 69 ◽  
Author(s):  
Alexandre Fávero BULGARELLI
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Oral Health ◽  
Social Policy ◽  
Health System ◽  
Health Professionals ◽  
Health Policies ◽  
Public Health Policies ◽  
Unified Health System ◽  
Oral Health Policy

ABSTRACT The last few decades have witnessed a growth in the value of dentists as health professionals as they act as protagonists in the construction of public health policies. This change comes from powerful and representative dentists in the Unified Health System (acronym in Portuguese is SUS). This short theoretical essay aims to bring the reader closer to the attributes necessary for the building of a social policy and draws a parallel with the National Oral Health Policy (acronym in Portuguese is PNSB). Issues such as context-oriented health policy and the National Oral Health Policy associated with the attributes of a social policy are presented in a narrative and reflective manner. In this process, the exercise of citizenship is demonstrated, emphasizing the importance of the collective role and policy of dentist surgeons in the stages of health policies in Brazil

Oral rehabilitation with complete implant-supported dental prosthesis: a budget impact analysis from the unified health system perspective

2020 ◽  
Author(s):  
Livia Fernandes Probst ◽  
Denise de Fátima Barros Cavalcante ◽  
Tazio Vanni ◽  
Erica Tatiane da Silva ◽  
Yuri Wanderley Cavalcanti ◽  
...  
Keyword(s):  
Health System ◽  
Impact Analysis ◽  
Budget Impact ◽  
Dental Prosthesis ◽  
Budget Impact Analysis ◽  
Oral Rehabilitation ◽  
System Perspective ◽  
Unified Health System ◽  
Dental Prostheses ◽  
Methodological Guidelines

Abstract Background Tooth loss is an important measure of a population's health condition and has a significant impact on people's quality of life. Oral rehabilitation is an important means for functional and social recovery of edentulous patThe aim of the study was to estimate the budget impact of complete implant-supported dental prostheses in the rehabilitation of mandibular edentulism in patients within the context of the Unified Health System (Sistema Único de Saúde – SUS).Methods Treatment with complete implant-supported dentures was compared with the technology most frequently used - Conventional Complete Dental Prosthesis. For analysis we adopted the Methodology proposed by the Methodological Guidelines for Budget Impact Analysis of the Brazilian Network for Health Technology Assessment (REBRATS). Sensitivity analysis was performed per scenarios and a temporal horizon of 5 years was used.Results Implementation of treatment by complete implant-supported dental prostheses would demand an amount of US$ 970,253,019.00 in 5 years in the reference scenario, US$ 545,767,323.40 in the most optimistic scenario, and US$ 1,516,020,342.40 in the worst scenario.Conclusions These results could support the Brazilian managers in planning the Federal budget destined to Medium to High Complexity (treatments), making it possible to disseminate rehabilitative treatment performed with complete implant-supported dentures in SUS, and serve as reference for health systems in other countries.

scholarly journals Cost-effectiveness of implant-supported dental prosthesis compared to conventional dental prosthesis

2019 ◽  
Vol 53 ◽  
pp. 69 ◽  
Author(s):  
Livia Fernandes Probst ◽  
Tazio Vanni ◽  
Denise De Fátima Barros Cavalcante ◽  
Erica Tatiane da Silva ◽  
Yuri Wanderley Cavalcanti ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Health System ◽  
Cost Effective ◽  
Dental Prosthesis ◽  
Unified Health System ◽  
Dental Prostheses ◽  
Proposed Model ◽  
Analysis Of Alternatives ◽  
Edentulous Patients ◽  
The Cost

OBJECTIVE: To conduct a cost-effectiveness analysis of alternatives for rehabilitation treatment of mandibular edentulism in the context of the Brazilian Unified Health System (implantsupported total dental prosthesis versus conventional total dental prosthesis). METHODS: A Markov model was developed to capture long-term clinical and economic outcomes. The model’s population was comprised of a hypothetical cohort of 1,000,000 patients, aged 55 years, with total mandibular edentulism and without medical contraindications for performing surgical procedures. The adopted analysis perspective was that of the Brazilian Unified Health System. Based on the proposed model, we calculated cost – in BRL, and effectiveness – measured by quality-adjusted prosthesis year (QAPY). The time horizon of the analysis was 20 years. RESULTS: Considering a 5% discount in costs and effects, the incremental cost-effectiveness ratio of implant-supported total dental prostheses compared to conventional total dental prosthesis (BRL 464.22/QAPY) was lower than the willingness to pay threshold adopted in the model (BRL 3,050.00/QAPY). CONCLUSIONS: The results of this economic analysis showed that the rehabilitation of mandibular edentulous patients by implant-supported total prosthesis is very cost-effective when compared to conventional complete prosthesis, considering the cost-effectiveness limits employed.

scholarly journals Does the implementation of a national oral health policy reduce inequalities in oral health services utilization? The Brazilian experience

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maria Helena Rodrigues Galvão ◽  
Angelo Giuseppe Roncalli
Keyword(s):  
Health Policy ◽  
Oral Health ◽  
Health Services ◽  
Health Services Utilization ◽  
Age Groups ◽  
Public Access ◽  
Services Utilization ◽  
Index Of Inequality ◽  
Oral Health Services ◽  
Oral Health Policy

Abstract Background This study aimed to assess the trend in income-related inequalities in oral health services utilization by the Brazilian population from 1998 to 2013. This period represents a timeline that includes different stages of implementation of the National Oral Health Policy. Methods The design was based on repeated cross-sectional surveys using secondary data from household-based studies carried out in Brazil in 1998, 2003, 2008, and 2013. The dependent variable was “having access to a dentist appointment at least once in a lifetime (yes/no).” Monthly household per capita income, based on Brazil’s minimum wage, was included as the main independent variable. To measure the inequalities in oral health access related to economic position, the following complex indexes based on regression were used: (a) the slope index of inequality (SII) and (b) the relative index of inequality (RII). Results There was a reduction in the percentage of individuals who never had a dentist appointment for all age groups and income classifications. In general, there was a reduction trend in absolute inequality for all age groups (p < 0.001). The relative inequality and reduction trend were different between the age groups studied. Conclusions The National Oral Health Policy was very important for expanding free of charge, public access to dental appointment. However, despite policy implementation, there continues to be high levels of inequality in access to dental consultation. Assessing which strategies are necessary to overcome this challenge is discussed.

scholarly journals Accuracy of the need for dental prosthesis and associated factors between elderly in Recife, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L F R Santos ◽  
E P Carvalho ◽  
S R A Oliveira ◽  
R S Moreira
Keyword(s):  
Oral Health ◽  
Health Services ◽  
Associated Factors ◽  
Family Income ◽  
Dental Prosthesis ◽  
The Self ◽  
Metropolitan Region ◽  
Self Perception ◽  
Epidemiological Surveys ◽  
Oral Health Services

Abstract Background The latest national oral health survey showed a high prevalence of the need for dental prostheses between the Brazilian elderly. To classify this need, normative (clinical) and subjective (self-reported) criteria must be considered since patients' self-perception takes into account social and functional issues that arise with oral health problems. Few studies investigate the agreement between these criteria, as well as its determinants. Thus, this study aimed to investigate the accuracy of the need for the use of total dental prosthesis and factors associated with the agreement between criteria. Methods Cross-sectional study, carried out in three municipalities in the Metropolitan Region of Recife, with a random sample of 816 elderly people from 65 to 74 years old. The dependent variable was the accuracy, calculated by the agreement between the self-reported and the normative need for a total dental prosthesis, and the independents were assembled in three blocks (socioeconomic/demographic, access to oral health services and self-perceived oral health). Hierarchical logistic models were conducted for total upper prosthesis (TUP) and total lower prosthesis (TLP). Results The self-perception of the need for prosthetic use presented an accuracy of 75.9% (95% CI = 72.8-78.7%) for TUP and 78.6% (95% CI = 75.6-81.3%) for TLP. In the multiple analysis, the accuracy for TUP and TLP needs holds an association with the variables: family income, age and time since the last dental appointment. Conclusions In conclusion, the self-perception of need for dental prosthesis demonstrates potential applicability for the elderly, presenting notable accuracy values. It suggests that studies based on patients' self-reports should be stimulated, aiming for the evaluation and validation of self-reported criteria in different contexts and cultures. Furthermore, the identification of accuracy associated factors can help to build more meaningful questions to be used in future surveys. Key messages The use of the self-reported need for total dental prosthesis may be feasible when considering lower cost, reduced time of execution and ease of use in population epidemiological surveys. Application of self-reporting as an epidemiological tool for planning and monitoring oral health services, incorporating it in the form of indicators for oral health surveillance.

Oral health and oral implant status in edentulous patients with implant-supported dental prostheses who are receiving long-term nursing care

Gerodontology ◽  
2009 ◽  
Vol 26 (4) ◽  
pp. 245-249 ◽  
Author(s):  
Rita Isaksson ◽  
Jonas P. Becktor ◽  
Andrew Brown ◽  
Christer Laurizohn ◽  
Sten Isaksson
Keyword(s):  
Oral Health ◽  
Nursing Care ◽  
Dental Prostheses ◽  
Oral Implant ◽  
Edentulous Patients

scholarly journals Building a "Smiling Brazil"? Implementation of the Brazilian National Oral Health Policy in a health region in the State of São Paulo

2015 ◽  
Vol 31 (1) ◽  
pp. 82-96 ◽  
Author(s):  
Aline Guerra Aquilante ◽  
Geovani Gurgel Aciole
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Oral Health ◽  
Health Care Professionals ◽  
Health Department ◽  
Work Conditions ◽  
Oral Health Care ◽  
Sao Paulo ◽  
São Paulo ◽  
Oral Health Policy

This paper is a case study on the implementation of the Brazilian National Oral Health Policy (PNSB), known as "Smiling Brazil", in the cities of the Regional Health Department of Araraquara (DRS III) in São Paulo State. A structured questionnaire was given to the municipal oral health coordinators, an interview with oral health care professionals and managers was conducted, and the official data provided by the Brazilian Ministry of Health were coded to assess the policy's scope: (i) expansion and qualification of actions; (ii) work conditions; (iii) care; (iv) access; and (v) planning and management. The quantitative and qualitative analyses were linked by methods triangulation. In terms of PNSB implementation, the majority of the cities (52.6%) were classified as "good", with 42.1% classified as "bad". Approximately 10 years after launching the PNSB, despite strides in oral health care and access to different levels of care, the cities still experience difficulties in implementing the policy's principles.

scholarly journals Tratamento hemodialítico e seus impactos financeiros no nordeste do brasil

2019 ◽  
Vol 13 ◽  
Author(s):  
Edison Vitório de Souza Júnior ◽  
Gabriele Da Silva Santos ◽  
Amélia Letícia Oliveira de Jesus ◽  
Débora Fraga de Souza ◽  
Tayná Freitas Maia ◽  
...  
Keyword(s):  
Ecological Study ◽  
Renal Dialysis ◽  
Unified Health System ◽  
Basic Care ◽  
El Sistema ◽  
Factores De Riesgo ◽  
Quantitative Descriptive ◽  
Public Costs ◽  
Financial Impacts

Objetivo: averiguar os registros sobre a realização de tratamento hemodialítico e seus impactos financeiros no Nordeste do Brasil, entre 2014 e 2017. Método: trata-se de estudo quantitativo, descritivo e ecológico, com dados do Sistema de Informações Ambulatoriais. Selecionou-se as opções referentes à hemodiálise, resultando em oito tipos de procedimentos. Analisaram-se os dados por meio de estatística descritiva simples que se apresentaram em tabelas. Resultados: realizaram-se 11.837.165 procedimentos hemodialíticos. Evidenciou-se maior prevalência de hemodiálise na Bahia (24,6%) e em caráter eletivo (97,9%). Destaca-se, ainda, o impacto financeiro superior a R$ 2,2 bilhões, maior prevalência de ônus na Bahia (24,6%) e o procedimento realizado na modalidade de no máximo três vezes por semana responsabilizou-se por 93,6% do total dos custos. Conclusão: conclui-se que, houve comportamento crescente na realização de hemodiálises, implicando no incremento dos custos públicos e tornando-se um fardo econômico para o Sistema Único de Saúde. Ressalta-se que, esse estudo fornece subsídios para incentivar a adesão, o fortalecimento e valorização da Atenção Básica, especialmente em relação ao aumento da qualidade assistencial aos usuários com fatores de risco. Descritores: Epidemiologia; Saúde Pública; Nefrologia; Diálise Renal; Custos de Cuidados de Saúde; Custos e Análise de Custo. Abstract Objective: to analyze the records on the accomplishment of hemodialysis treatment and its financial impacts in Northeast Brazil, between 2014 and 2017. Method: this is a quantitative, descriptive and ecological study, with data from the Outpatient Information System. The options related to hemodialysis were selected, resulting in eight types of procedures. Data were analyzed by means of descriptive and simple statistics and presented as tables. Results: there were 11,837,165 hemodialysis procedures. There was higher prevalence of hemodialysis in Bahia (24.6%) and in elective character (97.9%). Moreover, the financial impact exceeding R$ 2.2 billion, higher prevalence of burden in Bahia (24.6%) and the procedure carried out up to three times per week are responsible for 93.6% of the total costs. Conclusion: there was a growing behavior in the number of hemodialysis procedures, implying increased public costs and becoming an economic burden for the Unified Health System. This study provides subsidies to encourage the adherence, strengthening and enhancement of Basic Care, especially in relation to the increased quality of care to users with risk factors. Descritores:  Epidemiology; Public Health; Nephrology; Renal Dialysis; Healthcare Costs; Costs and Cost Analysis. Resumen Objetivo: analizar los registros sobre la realización de tratamiento de hemodiálisis y sus repercusiones financieras en el noreste de Brasil, entre 2014 y 2017. Método: se trata de un estudio cuantitativo, descriptivo y ecológico, con datos del Sistema de Informaciones Ambulatorias. Se seleccionaron las opciones relacionadas con la hemodiálisis, resultando en ocho tipos de procedimientos. Los datos fueron analizados mediante estadística descriptiva y sencilla y presentados en tablas. Resultados: fueron realizados 11,837,165 procedimientos hemodialíticos. Se observó una mayor prevalencia de la hemodiálisis en Bahia (24,6%) y en el carácter electivo (97,9%). Además, el impacto financiero superior a los R$ 2,2 mil millones, mayor prevalencia de carga en Bahia (24,6%) y el procedimiento realizado en un máximo de tres veces por semana fueron responsables de 93,6% de los costos totales. Conclusión: se concluye que hubo un comportamiento creciente en la realización de hemodiálises, implicando el aumento de los gastos públicos y convirtiéndose en una carga económica para el Sistema Único de Salud. Cabe destacar que este estudio proporciona subvenciones para fomentar la adhesión, el fortalecimiento y la mejora de los cuidados básicos, especialmente en relación con el aumento de la calidad de la atención a usuarios con factores de riesgo. Descriptores: Epidemiología; Salud Pública; Nefrología; Diálisis Renal; Costos de la Atención en Salud; Costos y Análisis de Costo.

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